Lonely Patients with Heart Failure Less Likely to Follow Treatment Advice

by Iswarya on  May 27, 2019 at 12:12 PM Mental Health News
RSS Email Print This Page Comment bookmark
Font : A-A+

Less than 10 percent of heart failure patients comply with advice on salt and fluid restrictions, daily weighing, and physical activity, reveals a new study. The findings of the study are presented at the Heart Failure meeting 2019.
Lonely Patients with Heart Failure Less Likely to Follow Treatment Advice
Lonely Patients with Heart Failure Less Likely to Follow Treatment Advice

"Loneliness is the most important predictor of whether patients adopt the advice or not," said senior author Professor Beata Jankowska-Polaska, of Wroclaw Medical University, Poland.

Show Full Article


"Patients who are alone do worse in all areas. Family members have a central role in helping patients comply, particularly older patients, by providing emotional support, practical assistance, and advice."

Failure to adhere to lifestyle recommendations or regularly take medications contributes to worsening heart failure symptoms and a raised risk of hospitalization. Breathlessness, swollen ankles and legs, and tiredness occur because the heart can no longer pump effectively. Fluid backs up in the lungs and is retained in parts of the body, and the muscles receive insufficient blood and oxygen.

Daily weighing flags up worsening fluid retention, while salt and fluid restrictions help keep fluid retention under control. Physical activity improves energy levels and quality of life. This study examined adherence to these four recommendations in 475 patients with chronic heart failure using the Revised Heart Failure Compliance Scale.

Following the recommendations was defined as "every day" or "three times a week" for weighing and "most of the time" or "all the time" for salt, fluid, and exercise. Just 7% of patients followed all four non-drug recommendations. Compliance with medication and regular check-ups was higher, at 58%.

Nearly 48% did no physical activity, and 19% very rarely exercised. Some 25% and 17% never or very rarely adhered to fluid restrictions, respectively. While 13% never and 22% very rarely restricted salt intake. More than half of patients (54%) weighed themselves less than once a week, and 17% did it once a week.

"It is worrying that fewer than one in ten patients observed all of the lifestyle advice," said Professor Jankowska-Polaska. "We also found that women were less compliant than men, and patients over 65 had poorer scores than younger patients."

Multivariate analysis showed that loneliness, a higher number of comorbidities, and more physically limiting heart failure were independent predictors of non-compliance to the four recommendations.

Study author Natalia wi toniowska said: "Patients with comorbid conditions may find it difficult to understand and follow all of the medical advice. For example, those with heart failure and kidney disease have more than ten pills to take, and some guidance may appear to be conflicting."

Doctors and nurses need to encourage better self-care in their patients with heart failure, said Professor Jankowska-Polaska. "Patients need clear written instructions on how to exercise for example, while text messages or phone calls can be used as reminders. It's important to check that patients understand the advice, tailor the recommendations, and assess adherence at every visit," she said.

Patients with heart failure can lead a normal social life, noted Ms wi toniowska, provided friends and family accept their dietary restrictions. "It can be difficult for patients with heart failure to stick to the lifestyle advice. Family members, in particular, have a big influence, and it's a good idea to involve them with meal preparation, physical activity, and reminders to check weight."

Source: Eurekalert

Post a Comment

Comments should be on the topic and should not be abusive. The editorial team reserves the right to review and moderate the comments posted on the site.
Notify me when reply is posted
I agree to the terms and conditions

My friend was diagnosed with PD[Parkinson’s Disease] in the summer of 2012. Her initial symptoms were quite noticeable. She first experienced weakness in her right arm and her speech and swallowing abilities were profoundly affected. She did so much to seek help for this disease, as she had been her brother's caregiver a few years earlier for the same disease. Early this year she started on organic/natural PD treatment from Best Health Herbal Centre (ww w. besthealthherbalcentre. co m). The treatment worked very effectively and all her symptoms simply disappeared completely after 7 weeks of usage.

Recommended Reading

News A - Z

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z

News Search

Premium Membership Benefits

Medindia Newsletters

Subscribe to our Free Newsletters!

Terms & Conditions and Privacy Policy.

Stay Connected

  • Available on the Android Market
  • Available on the App Store

News Category

News Archive